Archive for April, 2011

Potential of Asthma Adherence Management to Enhance Asthma Guidelines

A shocking 50% of asthma patients do not adhere to physician  medication recommendations.  The result is unnecessary suffering and even death.
This statistic is the driving force behind a study The potential of asthma adherence management to enhance asthma guidelines as published in the Annals of Allergy, Asthma and Immunology
The result…
Studies using individual interventions by themselves were modestly effective in promoting adherence. Two uncontrolled studies of children with severe asthma, treated in both inpatient and outpatient rehabilitation settings, used 4 intervention strategies to achieve marked reduction in morbidity and cost. These strategies included: (1) objective adherence monitoring; (2) identification of the cause(s) of nonadherence; (3) delivery of specific strategies for each cause; and (4) use of motivational interviewing communication skills to enhance the delivery of the strategy.
Nonadherence continues to be a significant problem.

Examining successful, organized adherence management programs in a controlled environment is needed “to increase adherence management evidence for future asthma guidelines.”

Bottom line… asthma is a serious condition.  Proper control of  your asthma depends on the complete partnership between you and your doctor. If you have any questions or concerns about your asthma treatment plan, do not hesitate to contact your healthcare provider.

Live in NYC and looking for answers to your asthma questions, please contact me – together we can devise an easy to administer treatment plan that will keep your asthma under control.

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Why are you sneezing?

Allergic rhinitis, commonly called hay fever, is a collection of symptoms, mostly in the nose and eyes, which occur when an allergen is inhaled.  As the pollen from trees, grass, flowers and plants become airborne these characteristics of spring trigger allergic responses such as runny noses, sneezing, post nasal-drip, itchy, coughing, fatigue watery and red eyes, and headaches.  The immune system identifies pollens as foreign substances, and it subsequently responds by triggering the release of histamines to expel the perceived invaders, which can brings forth the above listed of allergy symptoms.

The American Academy of Allergy Asthma and Immunology, nearly 36 million people are affected. It is a common chronic condition, affecting 10% – 30% of adults and up to 40% of children in the United States.  If this includes you, you don’t have to suffer.  An allergist can help determine which allergens cause your symptoms.   A detailed health history, physical exam and allergy testing can supply results in as little as 20 minutes. All this information will be taken into consideration when developing a plan of treatment.

If you live in the NYC area, call my office at 866.632.5537 and start enjoying springtime again.

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Understanding Allergic Asthma

Asthma and allergies often work in tandem against the patient.  Asthma is a disease affecting bronchial tubes, which transport air in and out of the lungs.  There are several different types of asthma, allergic asthma is provoked by an allergen.  The American Academy of Allergy, Asthma and Immunology estimates that 10 million Americans suffer with allergic asthma.

To explain allergic asthma we review the breathing process.  It begins as air is taken in through the nose and trachea then into the bronchial tubes. Inside the bronchial tubes are alveoli, little air sacs that transports fresh (oxygen) to the blood. These sacs also collect carbon dioxide to be exhaled out of the body. During normal breathing, muscles circling the airways are at ease while air maneuvers about effortlessly.

On the contrary during an asthma “attack,” complications keep air from moving freely into airways:

  • Muscles surrounding airways tighten, known as a “bronchospasm.”
  • Bronchial airways may become swollen and/or inflamed.
  • Mucus may be produced in over abundance and may be thicker than normal.

These tightened airways result in difficulties in moving air in and out of the lungs. People with asthma struggle with their breath and feel they cannot get enough air.  All of these changes make breathing difficult.

Some patients experience long breaks between asthma episodes while others have some symptoms every day.  Symptoms of asthma occur when patients encounter the biological events previously described.

Common symptoms of asthma are:

Coughing, especially in the evening
Shortness of breath
Tightness, pain, or pressure in the chest

It is important to note that not all people with asthma have the same symptoms.  Symptoms may differ from one asthma episode  to the next. Symptoms may fluctuate in severity, from mild during one attack to severe during another.

Milder asthma episodes are more common. The airways calm may down within minutes, but sometimes symptoms  can last for a few hours. Although less common, the longer lasting and more severe episodes require immediate medical treatment.  Patients should treat even mild symptoms to help prevent severe attacks and keep asthma in control.

If you suffer from allergies and asthma, a reaction to any allergen substance can aggravate asthma symptoms.

For over 25 years, I have treated Allergy, Asthma and Sinus Patients in New York City. Help is available; you can breathe easier and live a greater quality of life. Call me, Dr Arthur Lubitz, NY Allergy MD and together we’ll devise a successful treatment plan that addresses your symptoms.

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